Evidence map›Paper›PMID 41198967›Full record

ReviewCell death and differentiation2026

Cardiac fibroblast Foxm1 deficiency prevents pressure overload-induced cardiac remodeling via the Usp10/MKK6-p38γ MAPK axis.

Shuai Song, Xiaokai Zhang, Zihang Huang, Linqi Zeng, Fengze Cai, Tongyao Wang, Yining Song, Jiahao Guo, Mohan Li, Chenyan Liu and 8 more

Abstract readReview
In one paragraph

Review in Cell death and differentiation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Shuai Song *Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Xiaokai Zhang *Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Zihang Huang *Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Linqi Zeng *Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Fengze CaiDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Tongyao WangDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Yining SongDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Jiahao GuoDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Mohan LiDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Chenyan LiuDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Xinyu WengDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Shuyang LuDepartment of cardiac surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Li ShenDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Xiaochun ZhangDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Hao LuDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China. lu.hao@zs-hospital.sh.cn.
Ping ZhuDepartment of Physical Education, Shanghai University of Traditional Chinese Medicine, Shanghai, China. zhuping90@shutcm.edu.cn.
Aijun SunDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China. sun.aijun@zs-hospital.sh.cn.
Junbo GeDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China. jbge@zs-hospital.sh.cn.ORCID 0000-0002-9360-7332

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82000309National Natural Science Foundation of China (National Science Foundation of China) 82130010National Natural Science Foundation of China (National Science Foundation of China) T2288101
6 · The paper itself

Abstract

Cardiac fibroblasts (CFs) activation plays a crucial role in cardiac remodeling. However, the molecular mechanisms underlying the fibroblast-to-myofibroblast transition remain largely unknown. Here we found elevated Foxm1 expression in human heart failure (HF) samples as well as in the mouse cardiac remodeling model. CFs were the primary cell type responsible for Foxm1 upregulation. Foxm1 genetic knockout in CFs or myofibroblasts significantly attenuated TAC-induced cardiac remodeling and HF. Conversely, conditional overexpression of Foxm1 in CFs resulted in more severe pathological cardiac remodeling and dysfunction by TAC. Combined RNA-sequencing and MS analysis revealed that Foxm1 promoted p38 mitogen-activated protein kinase (MAPK) signalling pathway. Mechanically, Foxm1 not only upregulates USP10 to reduce the ubiquitination and degradation of p38γ but also directly drives the expression of MKK6 to increase the phosphorylation levels of p38, thereby acting as a dual amplifier for p38 activation. Genetic knockout of p38γ ameliorated the exacerbated TAC-induced cardiac remodeling in mice with Foxm1 overexpression in CFs. Our findings suggest that targeting the Foxm1-USP10/MKK6-p38γ MAPK axis may represent a new potential therapeutic strategy against pathological cardiac remodeling and HF. Foxm1 promotes the CFs activation during TAC-induced pathological cardiac remodeling through modulation of the USP10/MKK6-p38γ MAPK signalling pathway. Pro-fibrotic stimuli increase Foxm1 expression, which upregulates USP10 to reduce the ubiquitination and degradation of p38γ but also directly drives the expression of MKK6 to increase the phosphorylation levels of p38, thereby acting as a dual amplifier for p38 activation and promoting fibroblast-to-myofibroblast transition. Moreover, genetic knockout of p38γ mitigates exacerbated TAC-induced pathological cardiac remodeling in mice with Foxm1 overexpression in CFs.

Indexed as

FibroblastsForkhead Box Protein M1MAP Kinase Kinase 6Mitogen-Activated Protein Kinase 12MyocardiumUbiquitin ThiolesteraseVentricular RemodelingAnimalsHeart FailureHumansMaleMAP Kinase Signaling SystemMiceMice, Inbred C57BLMice, KnockoutMyofibroblastsForkhead Box Protein M1FOXM1 protein, humanFoxm1 protein, mouseMap2k6 protein, mouseMAP Kinase Kinase 6Mitogen-Activated Protein Kinase 12p38 Mitogen-Activated Protein KinasesUbiquitin ThiolesteraseUSP10 protein, mouse

Identifiers

PMID41198967
PMCPMC13076791

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.